Organization
SHAWN THOMAS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN THOMAS DDS (PERIODONTIST)
(440) 390-8524
Entity
Organization
Contact information
Practice address
1924 HICKORY RD, HOMEWOOD, IL 60430-2239
(708) 798-0444
Mailing address
1111 S WABASH AVE APT 1109, CHICAGO, IL 60605-2557
(440) 390-8524
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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